Status:

UNKNOWN

Adjunctive Clindamycin Versus Linezolid for β-lactam Treated Patients With Invasive Group A Streptococcal Infections

Lead Sponsor:

National Institutes of Health Clinical Center (CC)

Collaborating Sponsors:

Emory University

Conditions:

Streptococcal Sepsis

Invasive Group A Beta-Haemolytic Streptococcal Disease

Eligibility:

All Genders

18-100 years

Brief Summary

This study aims to emulate a hypothetical target pragmatic multi-center, non-blinded trial of adult inpatients in the PINC AITM dataset with B-lactam treated culture confirmed monomicrobial invasive G...

Eligibility Criteria

Inclusion

  • Adult inpatients patients (=\> 18 y of age)
  • Monomicrobial Group A streptococcus invasive infection
  • Primary therapy with a B-lactam agent (initiated before or on same day as adjunctive anti-toxin therapy)

Exclusion

  • Patients with a polymicrobial GAS culture (non-GAS organisms identified on eligibility GAS culture)
  • Patients who received linezolid but have a documented linezolid resistant isolate
  • Patients with GAS infections of non-sterile non-invasive sites (i.e sites which do not meet above mentioned inclusion criteria) which include but not limited to the lower urinary tract, upper respiratory tract
  • Patient with concomitant MSSA/MRSA invasive infection (+/- seven days of index GAS eligibility culture)
  • Patients who receive both anti-toxin agents (violation of protocol)
  • Patient who do not complete at least 3 days of B-lactam (violation of protocol)

Key Trial Info

Start Date :

January 1 2023

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

June 30 2024

Estimated Enrollment :

1000 Patients enrolled

Trial Details

Trial ID

NCT06126263

Start Date

January 1 2023

End Date

June 30 2024

Last Update

November 13 2023

Active Locations (1)

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1

National Institutes of Health Clinical Center (primary center conducting large database study)

Bethesda, Maryland, United States, 20892